DIOCESE OF CHEYENNE
YOUNG ADULT SURVEY

Thank you for taking the time to respond to this survey. We would like your assistance in making future plans for Young Adult Ministry. Please indicate the appropriate answer(s) or fill in the blanks. All answers are, of course, optional.

Name:_____________________________________________ Age:________________
Address:_______________________________City:_______________Zip:___________
Home Phone:___________________Work Phone:______________e-mail:_____________
Married____Single:____Divorced____Widowed____Priest____Religious____
Education: (Highest level achieved)
High School or equifalent(GED)____AAdegree____BA/BS degree____MA/MS degree____
PhD degree____Other______________________
Are you: a student? yes____ no____ School___________________________________
Are you: Employed? yes____no____ Occupation________________________________
Are you: a parent? yes_____no____ Ages of children____________________________
Sex: M__F__ Age range: 18-23______24-29_____30-35_____
You have lived in your parish: since childhood/adolescence____5-10 years____3-4 years____
1-2 years____less than 1 year____.
Marital statur: never married____engaged____married____# of years____separated____
divorced____widowed____.
Ethnicity: (primary) Asian____African American____Latin American____
Native American____White____Other______________
Do you live: alone____with parent(s)____with spouse and/or children____
with roommates____other_________________
Describe your participation in the Catholic Church: very active____active____occassional____
little____
Do you participate in young acult activities? yes___no____
Comments:_________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________.

So that future planning will reflect the interests of young adults, please check all areas of interest. Please double check areas of very strong interest.